Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05695 | Date 21/11/2023 |
| Token No | SM/22-23/15682 22/11/2023 | Serial | 006 |
| Patient Name | Mrs. NUPUR NIOGI | Contact No | |
| Address | SERAMPORE | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||